Diana Tamboli MD LLC

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

DIANA TAMBOLI MD LLC

Practice address

7316 N Western Ave
Oklahoma City, OK 73116-7120

Phone

(405) 408-4064

Fax

(405) 936-0561

NPI assigned

Mar 6, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diana Tamboli, MDNPI 1346534146

Title

Owner/Authorized Official

Phone

(615) 300-3857

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Tamboli, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Oklahoma City, OK
  • NPI 1346534146
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1164057543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7316 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167120",
            "telephone_number": "405-408-4064",
            "fax_number": "405-936-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7316 N WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167120",
            "telephone_number": "405-408-4064",
            "fax_number": "405-936-0561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9821 S May Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597042",
            "country_code": "US",
            "telephone_number": "405-708-7876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16315 N May Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730138892",
            "country_code": "US",
            "telephone_number": "405-521-0041",
            "fax_number": "405-936-0561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIANA TAMBOLI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "TAMBOLI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-300-3857",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200653870A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dianon Systems Inc
• Leanne Rachelle Dias Da Silva, MD
• Adolfo Jose Diaz Barba, MD
• Sabina Diaz-Alfaro

• Ophthalmic Plastic and Reconstructive Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.